101349 MID-AMERICA ELEVATOR INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cit of IIarinrie10ERTIFICATEO PURCHASE1013 ORDER
FEDERAL EXC ISTAX EXEMPTNUMBER
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
2/1/2018 201080
MID-AMERICA ELEVATOR INC General Administration
VENDOR 1116 E.MARKET STREET SHIP 1 Civic Square
TO Carmel, IN 46032-
INDPLS,IN 46202--3829
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
23022
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1205 Fund: 101 General Fund
Account: 43-501.00
1 Each Equipment Repairs and Maint $26,100.00 $26,100.00
Sub Total $26,100.00
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Send Invoice To: �..-
Dept of Administration
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $26,100.00
SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL �7 / ��
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945i�--� IGt • `-� e,'Gj
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
James Crider James Crider i\v")TITLE Administration Administration CONTROL NO. 101349 CLERK-TREASURER